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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Upper Sandusky, OH: $40.35

Avg. Paid

$40.35

Range

$9.40 – $102.24

Total Claims

47,289

Providers

31

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Upper Sandusky, OH

Provider Avg. Paid Claims Patients
Tammy Sue Murphy

885 N Sandusky Ave

$31.33 7,086 4,511
Troy Perkins

885 N Sandusky Ave

$69.59 4,948 4,101
Ernest R Ricker

885 N Sandusky Ave

$74.49 3,477 2,781
Chevone R Vent

245 Tarhe Trl

$30.21 3,249 2,867
Cynthia Nye

423 W Church St

$13.22 2,851 1,319
Thomas C Thornton

224 W Johnson St

$36.27 2,797 1,427
Abby Gayle Searfoss

885 N Sandusky Ave

$36.50 2,788 2,234
Tejas B Lodhawala

885 N Sandusky Ave

$26.64 2,088 1,812
Hannah Searfoss

885 N Sandusky Avenue

$32.06 2,005 1,678
Jennifer Mary Newman

885 N Sandusky Ave

$34.52 1,870 1,537
Megan Bair

885 N Sandusky Ave

$30.68 1,741 1,199
Dianne G Solis

245 Tarhe Trl

$37.43 1,471 1,300
Wyandot Memorial Hospital

885 N Sandusky Ave

$24.38 1,326 970
Angela Jean Napierala

97 Houpt Dr

$102.24 1,316 1,077
Jacob Ezra Conklin

885 N Sandusky Ave

$19.42 1,104 868
Betty Jean Lok

714 N Sandusky Ave

$34.44 1,078 893
Danielle Kreais

885 N Sandusky Ave

$37.95 892 737
Claude Theodore Beitler

885 N Sandusky Ave

$37.19 873 735
Tiffany R. Pottkotter

885 N Sandusky Ave

$40.69 801 678
Jessica A. Gilmore

885 N Sandusky Ave

$35.32 668 612
Chong S Cha

885 N Sandusky Ave

$60.53 614 595
Sarah Beth Kloepfer

885 N Sandusky Ave

$26.87 541 473
Owais Ajaz Khawaja

885 N Sandusky Ave

$47.00 481 446
Amy A Phillips

885 N Sandusky Ave

$32.90 388 354
Jose Vale

885 N Sandusky Ave

$24.06 315 282
Peter Joseph Schuler

885 N Sandusky Ave

$9.40 261 179
Robert James Kiffmeyer

885 N Sandusky Ave

$15.44 115 89
Cornel C Van Gorp

885 N Sandusky Ave

$28.58 52 50
Leslie Ann Conigy

885 N Sandusky Ave

$37.46 50 44
Wyandot County Office Of Auditor

127 S Sandusky Ave

$10.15 24 18
Elizabeth B Russell

885 N Sandusky Ave

$21.27 19 18

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code Description Avg. Paid Claims Providers
99213 Office visit established mod $43.18 764,306,590 487,602
99214 Office visit established mod-hi $59.53 502,480,931 466,856
99212 Office visit established low $41.69 92,299,154 127,462
99203 Office visit new moderate $67.55 47,756,882 127,334
99211 Office visit established minor $39.24 44,127,221 47,748
99204 Office visit new moderate-high $92.03 32,379,031 111,937
99215 Office visit established high $93.58 29,619,773 74,725
99202 Office visit new low $58.57 9,372,712 35,486
99205 Office visit new high $136.10 3,665,382 19,737
99244 Office consultation mod-high $118.25 3,405,681 11,884
99243 Office consultation moderate $78.55 2,585,480 8,432
99245 Office consultation high $132.29 645,300 3,046
99242 Office consultation low $58.27 483,445 1,980
99241 Office consultation brief $66.15 295,664 712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Upper Sandusky, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Upper Sandusky, OH is $40.35 per claim, based on 47,289 claims from 31 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Upper Sandusky, OH?

There are 31 Medicaid providers offering Office Visit related services in Upper Sandusky, OH according to public payment data.

What is the price range for Office Visit in Upper Sandusky, OH?

Medicaid reimbursement for Office Visit in Upper Sandusky, OH ranges from $9.40 to $102.24 per claim, with an average of $40.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

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